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Business Combinations - Additional Information (Detail) - USD ($)
Jul. 02, 2019
Mar. 01, 2019
Jun. 15, 2018
Business Acquisition [Line Items]      
Acquisition of outstanding minority interest     $ 6,900,000
ACC Pinnacle and Diabetes Collaborative Registries [Member]      
Business Acquisition [Line Items]      
Total purchase price $ 19,700,000    
Purchase price initial payment 11,700,000    
Contingent consideration, fair value at time of closing 5,000,000.0    
ACC Pinnacle and Diabetes Collaborative Registries [Member] | Maximum [Member]      
Business Acquisition [Line Items]      
Potential milestone/earnout payments $ 8,000,000.0    
Pulse8, Inc. [Member]      
Business Acquisition [Line Items]      
Acquisition of outstanding minority interest   $ 53,800,000  
Pulse8, Inc. [Member] | Maximum [Member]      
Business Acquisition [Line Items]      
Potential milestone/earnout payments   $ 10,000,000.0